Kodi nthawi zina mumamva ngati pachifuwa panu pali ntchofu, ndipo ngakhale mutatsokomola bwanji, sizituluka? Izi zimapangitsa kuti zikhale zovuta kupuma komanso thupi lanu likhale losasangalala, sichoncho? Izi zimachitika nthawi zonse, makamaka kwa anthu omwe ali ndi matenda enaake. Chifukwa chake, nthawi zina ngati izi, pali chithandizo chapadera chomwe chimathandiza kumasula ntchofu yokhuthala yomwe imamatirira pachifuwa ndikupangitsa kuti ikhale yosavuta kuyitulutsa. Tikulankhula za izi lero. Umenewo ndi Chest Physiotherapy.
Kodi Physiotherapy ya Chifuwa ndi Chiyani?
Mwachidule, Chest Physiotherapy ndi njira yapadera yothandizira thupi yomwe imathandiza kumasula mamina okhuthala komanso omata pachifuwa ndi mapapo anu ndikukuthandizani kutsokomola. Kunena zoona, katswiri wazaumoyo wophunzitsidwa bwino, nthawi zambiri katswiri wothandiza kupuma, amagogoda pachifuwa chanu ndikubwerera m'mbuyo motsatira kamvekedwe kake. Taganizirani ngati munthu amene akusewera bongo ng'oma, koma mofatsa kwambiri. Kugwedezeka kwa kugogoda kumeneku kumamasula mamina omwe ali m'mapapo anu. Kenako mutha kutsokomola maminawo. Izi zimachotsa mamina anu ndikupangitsa kuti kupuma kukhale kosavuta.
Mankhwala awa si opweteka. Komabe, amakakamiza mokwanira kuti athetse mamina. Nthawi zina mungaphunzitse wachibale kapena mnzanu momwe angachitire izi kenako n’kuzichita kunyumba.
Kodi mankhwalawa amagwiritsidwa ntchito pa matenda otani?
Kuchiza chifuwa si kwa aliyense. Madokotala amalimbikitsa makamaka kwa anthu omwe ali ndi matenda omwe amachititsa kuti mapapu atuluke kwambiri ndipo zimapangitsa kuti zikhale zovuta kuchotsa. Kungachitikenso ngati gawo la pulogalamu yonse yothandizira kupuma.
| Matenda | Chiyambi chachidule |
|---|---|
| Matenda a Fibrosis | Matenda a majini omwe mafinya a m'thupi, makamaka mamina, amakhala okhuthala komanso omata kwambiri. |
| COPD (Matenda Osatha a M'mapapo Oletsa Kutsekeka) | Gulu la matenda a m'mapapo omwe amatenga nthawi yayitali omwe amapangitsa kupuma kukhala kovuta. |
| Matenda a bronchiectasis | Matenda omwe njira zopumira m'mapapo zimatambasuka kosatha, zomwe zimapangitsa kuti mamina azisonkhana ndikuwonjezera chiopsezo cha matenda. |
| Chibayo | Kutupa kwa mapapo komwe kumachitika chifukwa cha matenda. Izi zimapangitsanso kuti mamina azisonkhana. |
| Matenda a Mitsempha ndi Minofu | Matenda omwe amafooketsa minofu yomwe imalamulira chifuwa, zomwe zimapangitsa kuti zikhale zovuta kuchotsa mamina. |
| Atelectasis | Mapapu ena kapena onse amagwa ndipo alibe mpweya. |
Kodi chithandizochi chimagwira ntchito bwanji?
Pali njira ziwiri zazikulu zochizira chifuwa. Izi ndi Percussion ndi Vibration . Njira zonsezi zitha kuchitidwa pamanja, kapena makina opangidwa mwapadera angagwiritsidwe ntchito. Chithandizochi nthawi zambiri chimaphatikizidwa ndi drainage ya postural, yomwe imathandiza kuti mamina atuluke mosavuta pansi pa mphamvu yokoka.
- Kugundana kwa zigundana: Pa izi, katswiri wa zamaganizo amagundana ndi dzanja lake. Kenako, zala zawo zikuloza pansi, amakugundani kumbuyo kapena pachifuwa mwa njira yosinthasintha. Angagwiritsenso ntchito chida chogwiridwa ndi dzanja chooneka ngati chikho.
- Kugwedezeka: Pachifukwa ichi, katswiri wa zamaganizo amaika manja ake pachifuwa kapena kumbuyo kwanu ndipo amagwedeza thupi lanu pang'onopang'ono. Kugwedezeka kumeneku kumamveka ndi njira zopumira zomwe zili pachifuwa chanu, zomwe zimamasula mamina.
Kukonzekera musanalandire chithandizo
Dokotala wanu kapena katswiri wa zamaganizo adzakuuzani momwe mungakonzekere musanalandire chithandizochi. Nthawi zambiri,
- Mungapemphedwe kuti mugwiritse ntchito bronchodilator yopumira mphindi 15-30 musanalandire chithandizo kuti mupumule mosavuta.
- Ndi bwino kuyamba chithandizo osachepera ola limodzi ndi theka (mphindi 90) mutadya, chifukwa kukhudza pachifuwa msanga mutadya kungayambitse kusanza.
- Onetsetsani kuti mwadziwitsa dokotala wanu za matenda ena aliwonse omwe muli nawo, makamaka mavuto otuluka magazi ndi kuthamanga kwa magazi, musanayambe kulandira chithandizo.
Kodi ubwino ndi zoopsa za chithandizo cha mafupa a pachifuwa ndi ziti?
Monga momwe zimakhalira ndi njira iliyonse yachipatala, pali ubwino ndi zoopsa zazing'ono. Komabe, zikachitidwa bwino komanso ndi katswiri wophunzitsidwa bwino, zoopsa zake zimakhala zochepa.
| Ubwino | Zoopsa |
|---|---|
| Kupuma kumakhala kosavuta. | Nthiti, msana, kapena minofu zingavulale (kawirikawiri). |
| Chiwerengero cha nthawi zomwe muyenera kugonekedwa m'chipatala chimachepa. | Pakhoza kukhala vuto kupuma. |
| Matenda kapena kuwonjezereka kwa matenda kumachepa. | Kusanza kungachitike. |
| Moyo ukuyenda bwino. | Mafinya amatha kutsekeka mu mpweya wopuma (aspiration). |
| Ntchito za tsiku ndi tsiku monga kuyenda ndi kuchita masewera olimbitsa thupi zimakhala zosavuta. | Kuchepa kwa mpweya m'magazi (hypoxia). |
| Kuthamanga kwa magazi pang'ono (hypotension). |
Chofunika kwambiri, malo ogona mutu pansi akhoza kukhala oopsa kwa anthu ena, choncho nthawi zonse funsani dokotala wanu malo ogona omwe ndi otetezeka kwa inu.
Nthawi yoti mupeze upangiri wachipatala nthawi yomweyo
Ngati mukukumana ndi zizindikiro zotsatirazi panthawi ya chithandizo kapena mutatha kulandira chithandizo, siyani chithandizo nthawi yomweyo ndipo dziwitsani dokotala wanu. Ngati vutoli ndi lalikulu, pitani ku Emergency Treatment Unit (ETU) nthawi yomweyo.
- Ngati mwadzidzidzi mukuvutika kupuma
- Ngati mukutsokomola ndi kutuluka magazi
- Ngati muli ndi ululu waukulu pachifuwa
- Ngati mutu wanu uli ndi vuto lalikulu
- Ngati mukumva chizungulire kapena mutu wopepuka
- Ngati milomo yanu, khungu lanu, kapena misomali yanu yasanduka yabuluu (cyanosis)
Malangizo angapo opangitsa kuti chithandizo chikhale chosavuta
Chithandizo cha chifuwa cha PT sichiyenera kupweteka. Koma nthawi zina chingakhale chosasangalatsa pang'ono. Choncho kumbukirani zinthu izi.
- Musaope kupereka ndemanga: Ngati mukuona kuti kugogodako n'kovuta kwambiri, kapena sikuli kolimba mokwanira kuti kumasulire mamina, uzani munthu amene akuchita zimenezo. Mumadziwa bwino thupi lanu.
- Musagogode malo olakwika: Musagogode kapena kuyika shock kumbuyo kwa msana, komwe nthiti zimathera. Malo awa ali ndi ziwalo zofunika monga impso. Kugogoda m'malo awa kungaziwononge.
- Dzipatseni mtendere: Valani zovala zomasuka panthawi ya chithandizo. Mangani tsitsi lanu kumbuyo ngati lili ndi vuto. Gwiritsani ntchito pilo yomwe mungasankhe. Anthu ena amachita izi akumvetsera nyimbo yomwe amakonda kapena akuwerenga buku.
- Uzani dokotala wanu za kusintha kulikonse pa thanzi lanu: Ngati pali kusintha kulikonse pa thanzi lanu, mwachitsanzo, ngati muli ndi chifuwa chatsopano ndipo mwayamba kutsokomola magazi, onetsetsani kuti mwauza dokotala wanu za izi musanayambe kulandira chithandizo.
Anthu ena amafunika kuchita chithandizochi kangapo patsiku. Ena amafunika kuchita izi tsiku lililonse. Zili ngati kutsuka mano anu, zomwe zimachitika tsiku lililonse kuti mukhale ndi thanzi labwino. Ngati dokotala wanu wakulangizani kuti muchite izi, chitani bwino komanso nthawi zonse . Mpumulo womwe mungapeze kuchokera pamenepo wopuma momasuka ndi wofunika.
Uthenga Wopita Nawo Kunyumba
- Physiotherapy ya pachifuwa ndi njira yochiritsira thupi yomwe imamasula ntchofu yokhuthala yomwe yatsekeredwa m'mapapo ndikupangitsa kupuma kukhala kosavuta.
- Ngati mukuchita chithandizochi kunyumba, onetsetsani kuti mwaphunzira njira yoyenera komanso yotetezeka yochitira izi kuchokera kwa dokotala kapena katswiri wodziwa bwino ntchito yake.
- Chithandizochi sichiyenera kukhala chopweteka. Ngati mukumva kusasangalala kapena kupweteka kulikonse, uzani munthu amene akuchita chithandizocho nthawi yomweyo.
- Samalani ndi zizindikiro zochenjeza monga kupuma movutikira, kutsokomola magazi, ndi kupweteka pachifuwa. Ngati chilichonse mwa izi chichitika, funsani upangiri wa dokotala nthawi yomweyo.
- Ngati pali kusintha kulikonse pa thanzi lanu, nthawi zonse kambiranani ndi dokotala wanu musanayambe kulandira chithandizo.

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